2002-311 ,r
I N 1
TOWN OF QUEENSBURY .
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CEftD"IFIrTATE F CCU�'A: CY
Permit Number: P200203I1 Date Issued: Tuesday,April 22,2003
This is to certify that work requested to be done as shown by Permit Number P20020311
has been completed
Tax Map Number: 523400-303-020-0001-029-000-0000
Location: 6'PHILLIPS 'Ave
Owner: JAMES&KAREN MC CANE
Applicant: JAMES&KAREN MC CANE
This structure may be occupied as a:
By Order of Town Board,-
Residential Addition TOWN OF QUEENSBURY
Director of uiiding&Code E rcem
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING. PERMIT
Permit Number: P20020311 Application Number: A20020311
Tax Map No: 523400-303-020-0001-029-000-0000
Permission is hereby granted to: JAMES &KAREN MC CANE
For property located at: 6 PHILLIPS Ave
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JAMES &KAREN MC CANE Residential Addition 2,000.00
6 PHILLIPS Ave Total Value 2,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name f Address Electrical Inspection Agency
i
i
i
Plans &Specifications
2002-311
77 sq ft RESIDENTIAL ADDITION(LAUNDRY&DINING ROOMS)
AS PER PLOT PLAN SPECIFICATIONS
r
$75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,May 10,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town of Queensbury; Friday,May 10,2002
SIGNED BY x for the Town of Queensbury.
, Direc r o uildin &4-&%orcement
Building Permit Application
Town of Queensbury Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid
valid building pernift. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By: PR 2 6
application form.
TOW/At
' WUIZEIV
I P
Applicant: ZJ a M A 4 CC&-k 13U/ G VCS( URY
Owncr:.
Address: Address:_Ao Philh p—s Aa,1-e-
Phone#(,5-1 1799- 567 k Phone#(z!5'18 -7,78-
Property Location: Lot Number: House Number—
Subdivision Name: Tax Map Number: 01 '
o New Building: toAidence /commercial Estimated Market Value of Construction: $ a600-010
-���d�diUo -� <:]esiden commercial If an Addition,what will use of new addition be?
ca Alteration: residence/ commercial t lA
0 No change to exterior size: residence com'l
C3 Other work(describe
Check OccupancyInformation 1"Floor 2" Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
E3 Single family dwelling
U Two family dwelling
13 Townhouse
C3 Multifamily dwelling
#of units
0 Office
11 Mercantile
u ,Manufacturing
U 1 car detached garage
E3 2 car detached garage
U 3 car detached garage
C3 I car attached garage
El 2 car attached garage
U 3 car attached garage
U Storage building-
commercial
C) Storage building-
residential
Other I qq 1 1
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what? /yo
Type of Heating System: electric/ oil / gas/wood forced hotair/ baseboard other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder to CA3 i Aij-e-
Plumber W"s n-6��- We
Mason pnp—�
Electrician jy\e S -np
Declaration:'please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether-specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
sub prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
drainistrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature- _owner,owner's agent,architect,contractor
Residential Final Inspection 116YAD
Office No. (518)761-8256 Date Inspection req 'st c i
Queensbury Building&Code Enforcement Arrive: aEp�i' epart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: M�Oar\\10 . - PE T#: (D:�) 3/./
LOCATION: cze K D
TYPE OF STRUCTURE:-
Coniments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
st"st e v �d
c Vlpej T
3 inch Plumb Vent through roof Comments
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Raili#gs 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Nowell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30.ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut'-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing Ski
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: _ / Every Bedroom:
Outside every bedroom area:
Inter Connected: — / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4hour fire door/door closer
Garage fireproofmg
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(hQ In accessible area
Crawl Spaces 18"x 24"access, I sq, 1-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C 0(Cert.Of Occiipancy)
Okay to issue Permanent C 1 0(Cert. Of Occup cy)
LASueHenrin-gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
GENERAL INSPECTION IWd OPT
( 518) 761-8256
Town of Queensbury
Dept.of Community Developrnent Date inspection request received:
Building&Code Enforcement
742 Bay Road /
Queensbury,NV 12804 Arrive Depart
inspector's Initial
NAME: _1'�c�C � PERMIT 4 t
LOCATION: 11..0 DATE : --
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers — � I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
'Voundation/Wallpour
Reinforcement in Place OF Z
Foundation/Dampproofing
*Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation.Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time
Dept. of Community Development Request received. Meet:
Building& Code Enforcement At time:
742 Bay Road
otes:
Queensbury, NY 12804 ARRIVE L-qCa �M�: PA R.T—jL, 'a 4
(518) 761-8256 Inspector's Initial
NAME: PERMIT#
LOCATION: j2 r-11-1 INSPECT ON(date): b—10 0 D,
TYPE OF STRUCTURE:
RECHECK
N/A YE Sf INO COMMENTS
tings/Piers V Z
Monolithic Pour Form 7
Reinforcement in Place
The contractor is resp nsible for
providing protection om freezing
for 48 hours following e placem t
u t protection
0 ot
r e
"Place
s r-t la r
e c o
e s
n
p t
'following
of the concrete.p
Materials for this purpose n site
in
Foundation/Wallpou 11 our
P c-__
e Reinforcement in ZcF---�,,pro L ppro ng
Foundation/Daml ofin
Backfill Approval.
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exteri R-
Floors
Walls
ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe
office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbury
.Dept. of Community.Development Request received: Meet:
.Building chi Code Enforcement At time:
742.Bay Road
Queensbury, NY 12804 ARRIVE EP T �a pm Notes:
(518) 761-8256 ' Inspector's Ini al,�/
NAME: �' "C ( PERMIT# 2�o c>7—
LOCATION: 1 �`p�' �- INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A i YES O COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place _
The contractor is'responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproo fang
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Venis in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R- T _
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Dangers
Jack Posts/Main Beam '
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPAR amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATIONA, Phi 11�fs
INSPECT ON(date):
TYPE OF STRUCTURE: D,
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing-_
Heating Rough-In
-Insulation V
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- I L/
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
Air Infiltration.Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppmg-
L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\GENERAT.INSPECTION REPORTAce
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
'4o. a
Dept. of Community Development Request received: Meet: whL>
Ready Me t,
e .t.;t ; t w VC
Building& Code Enforcement At time:
742 Bay Road
Not
Z
Not
Queensbury, NY 12804 ARRIVE am/pm: DEPAR am/pm
(518) 761-8256 Inspector's 1),dtia1s3F--
NAME: till— C C — PERMIT# M 6 Z. -31
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE: AeAk Cn
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Danipproofing_
Backfill Approval
P bing Under Slab
Ylumbing Vent/Vents in Place
R ough lamb. Z, I
Hleaot"ingough-In-'
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Header's
Bracing/BridgingJoist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
enetration Sealed
i re W
re Wall 2,3,4 hour
.es toplp-Lng� --Zl—
L:\SueHemingway\Building.Codes.hispection.FORMS\GENERAT,INSPECTION REPORT.doc
� 5— Office Use
GENERAL I p ECT O REPORT��
Inspector:
!lam dQ
Ready at time: Vlzg-
To-mjn of Queensbury.
)
Dept. of Community Development .Request received: Z Meet:
.Building&Code Enforcement At time:
742.Bay.Road
Qiieensbury, NY 12804, ARRIVE� a D A T a m Notes;
(518) 761-8256 Inspector's Ini als
NAME: C Ca N e., 7?ff-S"4-6 PERMIT# do 0,?—3l I
LOCATION: („ i I k 1 Ct:- INSPECT ON(date): v
TYPE OF STRUCTURE:&4.i �- ,
i
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rflugh Plumbing
eating Rough-In
Insulation -V _
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,A ' Vent
Framing 6
Jack Studs/Headers
Bracing/Bridging'
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
P netration Sealed
ire Wall 2,3,4 hour
irestopping t� ice. V ir�-1 - C,.C.106��
L:\SueHemingway\Building.Codes.Inspection.PORMS\GENERAL INSPECTION REPORT.doc
APR e 0 2002
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